CAJ | 학술논문

目的：调查成都市某社区医护人员应急核心能力现状，并提供干预措施，评价干预效果。方法使用自行设计的调查问卷进行现状调查，通过被调查者能力自评，对培训前后社区医护人员的各项应急核心能力进行评分和统计分析。结果该社区45．45％的被调查医护人员没有参加突发公共卫生事件应急处理的经历；42．86％没有参加过应急演习；50．65％没有接受过专业培训；该社区医护人员在培训前应急核心能力各一级指标评分平均得分由高到低分别是：现场紧急救护能力得分5．91分（培训后7．39分），临时安置点救护能力得分5．52分（培训后7．26分），搬运与疏散能力得分5．45分（培训后7．25分），拣伤分类能力得分5．21分（培训后7．14分），理论知识水平得分为5．18分（培训后7．10分），个人防护能力得分5．14分（培训后7．34分），预防卫生控制的能力得分5．12分（培训后7．04分），心理救援的能力得分5．12分（培训后7．32分），综合平均能力得分为5．33分（培训后7．23分）。培训前后应急核心能力得分比较，差异有统计学意义（P＜0．05）。结论目前，成都市某社区大多数医护人员缺乏参与突发公共卫生事件应急处理、演练的经历，缺乏专业培训，且应急核心能力仍处于有待提升。经过有效培训社区医护人员突发公共卫生事件应急核心能力在各一级指标水平都有显著提升。
목적：조사성도시모사구의호인원응급핵심능력현상，병제공간예조시，평개간예효과。방법사용자행설계적조사문권진행현상조사，통과피조사자능력자평，대배훈전후사구의호인원적각항응급핵심능력진행평분화통계분석。결과해사구45．45％적피조사의호인원몰유삼가돌발공공위생사건응급처리적경력；42．86％몰유삼가과응급연습；50．65％몰유접수과전업배훈；해사구의호인원재배훈전응급핵심능력각일급지표평분평균득분유고도저분별시：현장긴급구호능력득분5．91분（배훈후7．39분），림시안치점구호능력득분5．52분（배훈후7．26분），반운여소산능력득분5．45분（배훈후7．25분），간상분류능력득분5．21분（배훈후7．14분），이론지식수평득분위5．18분（배훈후7．10분），개인방호능력득분5．14분（배훈후7．34분），예방위생공제적능력득분5．12분（배훈후7．04분），심리구원적능력득분5．12분（배훈후7．32분），종합평균능력득분위5．33분（배훈후7．23분）。배훈전후응급핵심능력득분비교，차이유통계학의의（P＜0．05）。결론목전，성도시모사구대다수의호인원결핍삼여돌발공공위생사건응급처리、연련적경력，결핍전업배훈，차응급핵심능력잉처우유대제승。경과유효배훈사구의호인원돌발공공위생사건응급핵심능력재각일급지표수평도유현저제승。
Objective To assess the medical staffs′core competencies on public health emergency in a community of Chengdu city .To apply a systemic professional training program and to evaluate the effect of that intervention .Methods A self -designed questionnaire was adopted to assess the medical staffs′core competencies on public health emergency in a community of Chengdu city ,and to evaluate the change of the core competencies after the professional training .Results According to the result ,45 .45% of medical staff have no experience of public health emergency ,42 .86% of respondents have not been participated in any public health emergency drill ,50 .65% of them had no chance to receive professional training on public health emergency .The scores of the com‐munity medical staff emergency core ability level were skewness distributed .Mean score for each dimension ranked in descending order as follows:emergency rescue ability on site 5 .91(7 .39 after training) ,temporary sites rescue ability 5 .52(7 .26 after train‐ing) ,evacuation ability 5 .45(7 .25 after training) ,triage ability 5 .21(7 .14 after training) ,the theoretical knowledge 5 .18(7 .10 af‐ter training) ,individual protection score 5 .14(7 .34 after training) ,the score of post disaster prevention of infectious disease 5 .12 (7 .04 after training)and the psychological assistance ability 5 .12(7 .32 after training) ,and the comprehensive ability score 5 .33 (7 .23 after training) .The respondents′public health event emergency core ability scores demonstrate significant improvement after training .Conclusion nowadays most of the medical staff in communities of Chengdu lack the experience in public health emergency drill and professional training ,their emergency responding core competency remain to be improved;while the training program shows positive effect on enhancing their knowledge and ability .